Customer Information Change Form-Electronic Version

customer's name

account number

mobile phone number

(+ Country code-mobile phone number)

Please make the following changes to my / our above trading account, effective date is

I / we would like to update my personal information as follows

yes

mailing address

Home address (if different from mailing address)

residence phone

(+ Country code-home phone)

mobile phone number

(+ Country code-mobile phone number)

company phone

(+ Country code-company phone)

fax number

(+ Country code-company phone)

e-mail

We would like to update the bank account information as follows

Yes

Bank name

Bank account number

Bank account holder name

ABA/SWIFT Code

Bank address

I / we would like to update other information

Yes

Update other information as follows